Rastlantısal Olarak Tespit Edilen Multiple Tonsillolit: Bir Olgu Sunumu

Abstract

Bu olgu sunumunun amacı; panoramik radyografik muayene sonucu rastlantısal olarak tespit edilen multiple tonsillolitin klinik ve radyografik bulgularını sunmaktır. Akdeniz Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Anabilim Dalı'na rutin dental muayene için başvuran 64 yaşındaki kadın hastanın Hipotiroidi rahatsızlığı dışında herhangi bir sistemik hastalığı bulunmamaktaydı. Hastanın radyografik görüntüsünde bilateral multiple radyopak oluşumlar tespit edildi. İlgili radyopasiteler sol tarafta daha büyük boyutta ve sayıca daha fazla izlendi. İncelenen Konik Işınlı Bilgisayarlı Tomografi (KIBT) kesitlerinde, bilateral, parafarengeal yerleşimli, sol tarafta daha belirgin ve 7 x 5 x 4 (meziodistal x superioinferior x anterioposterior) mm boyutlarında olan multiple hiperdens odaklar izlendi. Hasta tonsillolit ön tanısı ile Kulak, Burun, Boğaz Anabilim Dalı’na yönlendirildi. Sunulan olguda tonsillolitin hastada herhangi bir semptom yaratmamasından dolayı takip önerilmiştir.

Keywords

• Konik ışınlı bilgisayarlı tomografi
• panoramik radyografi
• radyoopak
• tonsilolit

Multiple Tonsilloliths Detected By Chance: A Case Report

Abstract

The aim of this case report is to present the clinical and radiographic findings of multiple tonsillolitis incidentally detected by panoramic radiographic examination. A 64-year-old female patient was admitted to Akdeniz University Faculty of Dentistry, Department of Oral, Dental and Maxillofacial Radiology for a routine dental examination. She had no systemic disease other than hypothyroidism. Bilateral multiple radiopaque formations were detected in the radiographic image of the patient. The radiopacities were larger in size and more numerous on the left side. Cone Beam Computed Tomography (CBCT) sections showed bilateral, parapharyngeal localized multiple hyperdense foci measuring 7 x 5 x 4 (mesiodistal x superioinferior x anterioposterior) mm, more prominent on the left side. The patient was referred to the Department of Ear, Nose, and Throat with a prediagnosis of tonsillolitis. In the present case, follow-up was recommended because tonsillolitis did not cause any symptoms in the patient.

Keywords

• Cone-beam computed tomography
• Panoramic radiography
• Radiopaque
• tonsilollith

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